| NPI | 1437131877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 027422) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 027422) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: GA 027422) | |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2010-08-04 |